Letters
Unified training grade
Purchasers cannot put the cart before the horseEDITOR,--Trevor J Bayley suggests that, during their negotiations with trusts, purchasers of services should insist on an increase in the number of consultants in specialties in which the number of career registrars exceeds likely demand.1 Without this, he states, the many efforts to improve specialist training in Britain will have been for nought.
Firstly, the function of purchasers is to assess their population's health needs and negotiate the delivery of relevant health care interventions from appropriate providers. As in other purchaserprovider relationships, the planning of staffing levels, medical or otherwise, is a matter not for the purchaser but for the provider of services.
Seondly, if expansion of a particular specialty is genuinely needed in any location then purchasers should be calling on trusts to develop those services independent of the number of career registrars. It would be wrong, however, for purchasers to
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- Unified training grade
- Trevor J Bayley
BMJ 1995 310: 1020-1021.[Extract] [Full Text]
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